I work on a surgical floor, and have for about a year, but I've yet to have to flush a JP drain. I overheard one of my coworkers talking about having an order to do so, but I was unable to follow up and ask her HOW.
It sounds like the drain comes from the wound site, then there are 2 ports -- 1 that is hooked up to tubing and goes to the JP bulb, and the other just an available port.
How exactly do you flush a JP, especially given that it has 2 ports as opposed to 1? I have absolutely no idea. Where do you hook up the saline syringe too? Which port? I know nothing!
If anyone can offer advice based on their experience, that would be great!
Personally, I don't like the idea, and have never done it. The risk in my eyes, is that it's not a closed system. You are flushing debris that has been exposed to room air back into the wound!!
I have dealt with thousands of JP's as a community RN, and the best way to keep JP's from blocking up is to have the patient strip the tubing every couple of hours. It's flexible, so they can grab it between their fingers, and milk it in the direction of the bulb.
Now, hemovacs...whole different story! I hate hemovacs. You cannot strip the tubing, and they are very prone to air leaks. I have had to detach the vac from the tubing to clear blood clots. Often when you do this, a long, stringy blood clot will be sticking out of the drain. If you can grab hold of the clot with a sterile piece of gauze, often you can clear the drain by gently pulling it out. Now, the nexty problem is re-attaching the drain so that the system will still keep suction. Good luck!
Last edit by Jay-Jay on Nov 24, '06